Individual
MRS. DONNA MARIE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
300 E WARWICK DR, ALMA, MI 48801-1014
Mailing address
10433 W MCGREGOR RD, RIVERDALE, MI 48877-9541
(989) 289-2791
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5201003243
MI
Other
Enumeration date
03/25/2018
Last updated
03/25/2018
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